Notice of Privacy Practices
Plastic Surgery Art and Science Institute and SurgeryArt.com (“we,” “our,” or “us”) are committed to maintaining the privacy and security of your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and applicable state law.
This Notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.
Our Privacy Principle
We are required by law to:
- Maintain the privacy of your health information
- Provide you with this Notice of our legal duties and privacy practices
- Follow the terms of the Notice currently in effect
Protected Health Information (PHI) includes identifiable medical, treatment, or health information that relates to:
- Your past, present, or future physical or mental health condition
- The provision of health care
- Payment for medical services
How We Use and Disclose Health Information
We may use and disclose your PHI for treatment, payment, and healthcare operations without your authorization.
Treatment
We may use and disclose PHI to provide, coordinate, or manage your medical care. Examples include:
- Sharing information with consulting physicians
- Providing treatment plans
- Making referrals to specialists
Payment
Your PHI may be used to bill and collect payment for services. Examples include:
- Submission of claims to insurers
- Collection of payment for services rendered
Healthcare Operations
We may use and disclose PHI for internal functions including:
- Quality assurance
- Staff training
- Credentialing
- Compliance activities
Uses and Disclosures Requiring Authorization
We will not use or disclose your PHI for purposes other than treatment, payment, or healthcare operations without your written authorization. Uses requiring authorization include:
- Marketing purposes
- Sale of PHI
- Use of psychotherapy notes
- Most uses of PHI for research (unless permitted by law)
You may revoke your authorization at any time in writing, except where action has already been taken based on the authorization.
Uses and Disclosures That Do Not Require Authorization
We may use or disclose PHI without authorization in the following situations:
Required by Law
When required to comply with federal, state, or local law.
Public Health Activities
To report disease outbreaks, product safety issues, or adverse events to public health authorities.
Health Oversight
For audits, investigations, inspections, or licensure activities.
Legal Proceedings
In response to a court order, subpoena, or other lawful process.
Law Enforcement
To report certain crimes, comply with law enforcement requests, or prevent serious harm.
Threat to Health or Safety
To prevent or lessen a serious threat to health or safety.
Specialized Government Functions
Including military, veterans affairs, national security, or protective services.
Workers’ Compensation
To comply with workers’ compensation laws or similar programs.
Your Rights Regarding Your PHI
You have the following rights regarding your health information:
Right to Inspect and Copy
You may request to inspect or obtain a copy of your PHI. A reasonable fee may apply for copying and mailing.
Right to Amend
If you believe your information is incorrect or incomplete, you may request an amendment. We may deny the request if the information is accurate and complete.
Right to an Accounting of Disclosures
You may request a list of disclosures of your PHI made for purposes other than treatment, payment, healthcare operations, or authorized disclosures.
Right to Request Restrictions
You may request limits on how your PHI is used or disclosed. We are not required to agree but will comply if we do.
Right to Confidential Communications
You may request communication by alternative means or locations (e.g., different mailing address or phone number).
Right to a Paper Copy of This Notice
You may request a paper copy even if you agreed to receive it electronically.
Privacy Practices for Email & Contact Forms
Communication via email or Website contact forms is not fully secure. You should not send sensitive medical information through these methods. For confidential matters, please contact our office directly by phone.
Changes to This Notice
We reserve the right to change this Notice at any time without prior notice. Changes will apply to all PHI we maintain. Updates will be reflected by revising the Effective Date and posting the updated Notice on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
- Plastic Surgery Art and Science Institute
- Or the U.S. Department of Health and Human Services, Office for Civil Rights
You will not be retaliated against for filing a complaint.
Contact Information
For questions, complaints, or to exercise your privacy rights, please contact:
Plastic Surgery Art and Science Institute
8383 Wilshire Blvd. Suite 800
Beverly Hills, CA 90211
Phone: (310) 678-8500
Email: [email protected]
Website: https://surgeryart.com/
Acknowledgement of Receipt
By using this Website, scheduling a consultation, or providing your personal information, you acknowledge that you have read and understood this Notice of Privacy Practices.
